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Texas House advances 12-month postpartum Medicaid coverage

Midwife Krystal Brown wipes up her patient's stomach after the exam.
Yfat Yossifor
/
四虎影院
Krystal Brown, Certified Nurse Midwife, examines her patient, Cherish Sims, during a prenatal visit Tuesday, Feb. 21, 2023, at Lovers Lane Birth Center in Richardson.

House Bill 12, authored by state Rep. Toni Rose, needs to clear one more procedural hurdle before moving to the Texas Senate.

The Texas House of Representatives advanced a bill Thursday that would after giving birth.

House Bill 12, authored by state Rep. Toni Rose, D-Dallas, was supported by hospitals like Parkland Health, mental health organizations and the Texas Maternal Mortality and Morbidity Review Committee, which reviews and publishes reports about Texas maternal health.

鈥淭his comprehensive coverage will save lives and ensure children grow up with their mothers,鈥 Rose said when reading the bill on the House floor.

House Speaker Dade Phelan identified HB 12 as a this legislative session. The bill needs to clear one more procedural vote before heading to the Texas Senate.

Medicaid covers everything from prenatal visits and ultrasounds to prenatal vitamins for expecting parents. In January 2023, close to 500,000 Texans were enrolled in pregnancy Medicaid, according to data from the .

Currently, Medicaid extends two months postpartum, which research shows contributes to for parents and babies, like , mental health conditions like depression, and higher rates of maternal mortality.

鈥淭hese tragedies impact families and communities,鈥 Rose said.

Diana Forester, the director of health policy for Texans Care for Children, spoke in favor of the bill during a House Health Care Reform Committee meeting in March. She said the public health emergency, which allowed people to be continuously enrolled in Medicaid since 2020, granted parents a longer window of coverage.

鈥淭he thing that keeps coming up is, 'extended care has allowed me to take care of myself,'鈥 she said of the parents she spoke with. 鈥'It's allowed me to get better, so that I can be there for my family and go back to work.' That's really what this legislation is about 鈥 it's about allowing moms to take care of themselves so they can return to caring for their families.鈥

According to a report from the Kaiser Family Foundation, , including neighboring states Louisiana, Oklahoma and New Mexico.

Doug Curran, a family doctor and representative for the , said during the March committee meeting the bill 鈥渕akes it easier for us to take care of patients.鈥

鈥淚n Texas, we鈥檙e not doing good,鈥 he said. 鈥淚t鈥檚 time for us to do better. It鈥檚 always time for us to do better.鈥

Gov. Greg Abbott did sign a six-month extension into law during the 2021 legislative session, but the .

鈥淢embers of this committee supported HB 133 last session, so I don鈥檛 think I need to go through a long layout about how important this bill is,鈥 Rose said in the March meeting. 鈥淟ast session, the House supported 12 months, and so we know that the House will support 12 months again.鈥

Got a tip? Email Elena Rivera at erivera@kera.org. You can follow Elena on Twitter .

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Elena Rivera is the health reporter at 四虎影院. Before moving to Dallas, Elena covered health in Southern Colorado for KRCC and Colorado Public Radio. Her stories covered pandemic mental health support, rural community health access issues and vaccine equity across the region.